A 60 y/o/f complaints of shortness of breath

Chief complaints – A 60 y/o/f complaints of shortness of breath for past few days. Symptoms are worsening gradually. PMH- Similar symptoms 2years back and required hospitalization for few days. Symptoms were well controlled. Occasionally used salbutamol inhaler. Vitals- Temp- 98 F, BP- 112/88 mm/Hg, Pulse-88/min Examination- She is overweight, poor chest expansion, wheezing is noted. Chest Xray is attached. Please guide how to proceed further?

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Dx:- COPD Rx :- 1.kanakasava 2. Mahalaxmi Vilas rasa

B/l hyperinflation prominent blood vessels copd emphysema

Add -2D ECHO Spo२ level ?

CXR B/L Inflamed Lungs COPD - Emphysema R/O cor Pulmonale by 2d echo Rx ICS + LABA Budamate 400mg -800mg Tab.Pulmoclear OD

Pt needs further evaluation of heart and lungs .. Mri of lung, ct angio .., aero cort pugs tid , mon L, o2 sos …
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रोगी श्वास नली शोथ से पीड़ित है। चिकित्सा संबंधी योग,,, महालक्ष्मी विलास रस स्वर्ण युक्त 1 रत्ती। श्रंगाराभ्र रस 1 वटी। ताली शादी चूर्ण 2 ग्राम। शीतो फलादि चूर्ण 2 ग्राम। चंद्रा मृत रस 1 रत्ती। एक चम्मच शहद में मिलाकर सुबह-शाम सेवन कराएं। कनकासव द्राक्षासव दोनों को मिलाकर 25 ग्राम सुबह-शाम खाना खाने के बाद दें। तीन महीने तक सेवन कराने से लाभ होगा। योग परिक्षित है। पिछले 45 वर्ष से प्रयोग कर रहा हूं।

So many drugs !
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CXR..STUDY .. BL .. HYPERINFLATED LUNGS .. PROMINANT BV..MARKINGS .. COPD EMPHYSEMA ..

Tnx Dr Rubina Dhaliwal
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Increased bronchovascular markings and hyperinflation of both lungs. Cardiac shadow is tubular. COPD

Thank you Dr. Shyam sundar patro
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Severe hyperinflation with cardiomegaly... ICS+ LABA along with LAMA regularly... Acebrophylline 100 BD Orciprinaline 10mg... OD 2D ECHO to rule out COR PULMONALE... If there, add TADALAFIL 10mg ... OD

Thank you Dr. bijaya meher
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Copd Pft Hrct expiratory film Opinion of chest specialist

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